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KIDS THRIVE PEDIATRICS, LLC
NPI 1972252526
Clinic/Center - Health Service in Honolulu, HI

Active since March 21, 2022CLIA 12D2263696 · Waiver
1520 LILIHA ST STE 404, HONOLULU, HI 96817(808) 545-3567(808) 545-3568 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kids Thrive Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDS THRIVE PEDIATRICS, LLC (NPI 1972252526) is a healthcare organization registered as a health service in Honolulu, Hawaii and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Kristine Layugan Shaner, Owner/pediatrician, as its authorized official.

NPPES Registry Identity

NPI1972252526
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameKIDS THRIVE PEDIATRICS, LLC
Location Address1520 LILIHA ST STE 404Honolulu, HI 96817-3563
Mailing Address94-1024 Hoainau StWaipahu, HI 96797-3272 · (808) 349-6128
Phone(808) 545-3567
Fax(808) 545-3568
Organization SubpartNo
Authorized OfficialKristine Layugan ShanerOwner/pediatrician · (808) 545-3567
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1972252526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1520 LILIHA ST STE 404, Honolulu, HI 96817
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kids Thrive Pediatrics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kids Thrive Pediatrics, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristine Shaner, M.D.
Pediatric Medicine
NPI 1275896433
1520 LILIHA ST STE 404
Honolulu, HI 96817
(808) 545-3567
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2263696

Kids Thrive Pediatrics, LLC · Honolulu, HI
Active · expires Dec 17, 2027
CLIA Number12D2263696
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorDr. Kristine L. Shaner
Laboratory Phone(808) 545-3567
Laboratory LocationKids Thrive Pediatrics, LLC1520 Liliha Street, Suite 404, Honolulu, HI 96817
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kids Thrive Pediatrics, LLC's NPI number?

The NPI number for Kids Thrive Pediatrics, LLC is 1972252526. It was assigned to this organization in the NPPES registry on March 21, 2022.

Where is Kids Thrive Pediatrics, LLC located?

Kids Thrive Pediatrics, LLC is located at 1520 Liliha St Ste 404, Honolulu, HI 96817. The listed phone number is (808) 545-3567.

What is Kids Thrive Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Kids Thrive Pediatrics, LLC enrolled in Medicare?

Yes. Kids Thrive Pediatrics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kids Thrive Pediatrics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Kids Thrive Pediatrics, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kids Thrive Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2263696) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kids Thrive Pediatrics, LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.